Dissociated deficits of anticipated and experienced regret in at-risk suicidal individuals

BackgroundsDecision-making deficits have been reported as trans-diagnostic characteristics of vulnerability to suicidal behaviors, independent of co-existing psychiatric disorders. Individuals with suicidal behaviors often regret their decision to attempt suicide and may have impairments in future-o...

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Main Authors: Hui Ai, Lian Duan, Lin Huang, Yuejia Luo, André Aleman, Pengfei Xu
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-03-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1121194/full
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author Hui Ai
Hui Ai
Lian Duan
Lin Huang
Yuejia Luo
Yuejia Luo
Yuejia Luo
André Aleman
André Aleman
Pengfei Xu
Pengfei Xu
author_facet Hui Ai
Hui Ai
Lian Duan
Lin Huang
Yuejia Luo
Yuejia Luo
Yuejia Luo
André Aleman
André Aleman
Pengfei Xu
Pengfei Xu
author_sort Hui Ai
collection DOAJ
description BackgroundsDecision-making deficits have been reported as trans-diagnostic characteristics of vulnerability to suicidal behaviors, independent of co-existing psychiatric disorders. Individuals with suicidal behaviors often regret their decision to attempt suicide and may have impairments in future-oriented processing. However, it is not clear how people with suicidal dispositions use future-oriented cognition and past experience of regret to guide decision-making. Here, we examined the processes of regret anticipation and experience in subclinical youth with and without suicidal ideation during value-based decision-making.MethodsIn total, 80 young adults with suicidal ideation and 79 healthy controls completed a computational counterfactual thinking task and self-reported measures of suicidal behaviors, depression, anxiety, impulsivity, rumination, hopelessness, and childhood maltreatment.ResultsIndividuals with suicidal ideation showed a reduced ability to anticipate regret compared to healthy controls. Specifically, suicidal ideators’ experience of regret/relief was significantly different from that of healthy controls upon obtained outcomes, while their disappointment/pleasure experience was not significantly different from healthy controls.ConclusionThese findings suggest that young adults with suicidal ideation have difficulty predicting the consequences or the future value of their behavior. Individuals with suicidal ideation showed impairments in value comparison and flat affect to retrospective rewards, whereas individuals with high suicidality showed blunted affect to immediate rewards. Identifying the counterfactual decision-making characteristics of at-risk suicidal individuals may help to elucidate measurable markers of suicidal vulnerability and identify future intervention targets.
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spelling doaj.art-dbb2708b661b4c1b817d62b28d7c143f2023-03-09T06:48:19ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-03-011410.3389/fpsyt.2023.11211941121194Dissociated deficits of anticipated and experienced regret in at-risk suicidal individualsHui Ai0Hui Ai1Lian Duan2Lin Huang3Yuejia Luo4Yuejia Luo5Yuejia Luo6André Aleman7André Aleman8Pengfei Xu9Pengfei Xu10Institute of Applied Psychology, Tianjin University, Tianjin, ChinaAcademy of Medical Engineering and Translational Medicine, Tianjin University, Tianjin, ChinaShenzhen Key Laboratory of Affective and Social Neuroscience, Center for Brain Disorders and Cognitive Sciences, Shenzhen University, Shenzhen, ChinaShenzhen Key Laboratory of Affective and Social Neuroscience, Center for Brain Disorders and Cognitive Sciences, Shenzhen University, Shenzhen, ChinaShenzhen Key Laboratory of Affective and Social Neuroscience, Center for Brain Disorders and Cognitive Sciences, Shenzhen University, Shenzhen, ChinaBeijing Key Laboratory of Applied Experimental Psychology, National Demonstration Center for Experimental Psychology Education (BNU), Faculty of Psychology, Beijing Normal University, Beijing, ChinaCenter for Emotion and Brain, Shenzhen Institute of Neuroscience, Shenzhen, ChinaShenzhen Key Laboratory of Affective and Social Neuroscience, Center for Brain Disorders and Cognitive Sciences, Shenzhen University, Shenzhen, ChinaSection Cognitive Neuroscience, Department of Biomedical Sciences of Cells and Systems, University Medical Center Groningen, University of Groningen, Groningen, NetherlandsBeijing Key Laboratory of Applied Experimental Psychology, National Demonstration Center for Experimental Psychology Education (BNU), Faculty of Psychology, Beijing Normal University, Beijing, ChinaCenter for Emotion and Brain, Shenzhen Institute of Neuroscience, Shenzhen, ChinaBackgroundsDecision-making deficits have been reported as trans-diagnostic characteristics of vulnerability to suicidal behaviors, independent of co-existing psychiatric disorders. Individuals with suicidal behaviors often regret their decision to attempt suicide and may have impairments in future-oriented processing. However, it is not clear how people with suicidal dispositions use future-oriented cognition and past experience of regret to guide decision-making. Here, we examined the processes of regret anticipation and experience in subclinical youth with and without suicidal ideation during value-based decision-making.MethodsIn total, 80 young adults with suicidal ideation and 79 healthy controls completed a computational counterfactual thinking task and self-reported measures of suicidal behaviors, depression, anxiety, impulsivity, rumination, hopelessness, and childhood maltreatment.ResultsIndividuals with suicidal ideation showed a reduced ability to anticipate regret compared to healthy controls. Specifically, suicidal ideators’ experience of regret/relief was significantly different from that of healthy controls upon obtained outcomes, while their disappointment/pleasure experience was not significantly different from healthy controls.ConclusionThese findings suggest that young adults with suicidal ideation have difficulty predicting the consequences or the future value of their behavior. Individuals with suicidal ideation showed impairments in value comparison and flat affect to retrospective rewards, whereas individuals with high suicidality showed blunted affect to immediate rewards. Identifying the counterfactual decision-making characteristics of at-risk suicidal individuals may help to elucidate measurable markers of suicidal vulnerability and identify future intervention targets.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1121194/fullsuicideregretcounterfactual thinkingcomputational modelingat-risk youths
spellingShingle Hui Ai
Hui Ai
Lian Duan
Lin Huang
Yuejia Luo
Yuejia Luo
Yuejia Luo
André Aleman
André Aleman
Pengfei Xu
Pengfei Xu
Dissociated deficits of anticipated and experienced regret in at-risk suicidal individuals
Frontiers in Psychiatry
suicide
regret
counterfactual thinking
computational modeling
at-risk youths
title Dissociated deficits of anticipated and experienced regret in at-risk suicidal individuals
title_full Dissociated deficits of anticipated and experienced regret in at-risk suicidal individuals
title_fullStr Dissociated deficits of anticipated and experienced regret in at-risk suicidal individuals
title_full_unstemmed Dissociated deficits of anticipated and experienced regret in at-risk suicidal individuals
title_short Dissociated deficits of anticipated and experienced regret in at-risk suicidal individuals
title_sort dissociated deficits of anticipated and experienced regret in at risk suicidal individuals
topic suicide
regret
counterfactual thinking
computational modeling
at-risk youths
url https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1121194/full
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